A service system for school-based mental health

A Safe Schools/Healthy StudentsA Safe Schools/Healthy Students Project Funded in 2009 • Partners: Johnson City Schools

Frontier HealthJohnson City Police DeptJohnson City Police Dept.Johnson City Juvenile Court

Services• Student Resource Officers• Mental Health Screening in Juvenile Court

I i P b i• Intensive Probation

Mental Health Services• School Based Early Intervention • Parent / Family Services

S d A i• Student Assistance• Credentialed Therapists, Case Managers

School Values• Attention to Safety• Crisis Intervention

Th A• Threat Assessment• Family Involvement• Consultation• Consultation• Immediate Access to Treatment Services• Mental Health Staff Integrated with FacultyMental Health Staff Integrated with Faculty

Students Served by School-based Mental Health Professionals

MEASURE SY 08-09** SY 09-10 SY 10-11 SY 11-12MEASURE SY 08-09 SY 09-10 SY 10-11 SY 11-12

Total # served by mental health professionals*

754 1254 1258 1565

% of school enrollment served 10.4% 17.34% 17.23% 21.31%

# referred to center-based services 25 269 196 238

% of referred who access center- 50% 93.07% 85.71% 78.15%based services

*Only includes students served individually or in small group setting—does not include students who receive whole‐class lessons ** Program was not fully staffed until March 2009.

Most Frequently Occurring Reasons for Students to Meet With Frontier Health Professionals

• Relationship issues (20%)Relationship issues (20%)• Parent-Child Conflict (19%)• Anger Management & AcademicAnger Management & Academic

Problems (14% each)• Depression (9%)Depression (9%)• Parents’ Divorce or Separation (6%)

4-Year Report on ATOD OutcomesMEASURE Target SY 08-09 SY 09-10 SY 10-11 SY 11-12

Alcohol 30-Day Use 22% 28.25% 17.75% 12.85% 12.05%

Tobacco 30-Day Use 10% 13% 8% 6% 7%

Marijuana 30-Day Use 11% 16.4% 8.4% 6.25% 6.57%

Alcohol Lifetime Use N/A 47% 36% 25% 30%

Tobacco Lifetime Use N/A 29% 20% 15% 15%

Marijuana Lifetime Use N/A 25% 13% 11% 11%

Jane Knitzer’s Unclaimed Children Revisited 2008The future for funding mental health services for children

• Flexible funding allowing rapid response to emerging knowledgeAttention beyond SED youth• Attention beyond SED youth

• Dedicated funding for prevention and early intervention

• Increased supporst for parenting and family support in the context of prevention, earl inter entionearly intervention

• Implementation of system of care core values

• Implementation of system, of care core values

• Improve quality re: cultural issues• Increased workforce capacity

Use of data to drive clinical and• Use of data to drive clinical and administrative decision making

• Increased attention to functional outcomes for children and youth

• Integrated delivery system

Success Story• 18 year old male referred to the therapist by a teacher

for discussing "violent thoughts.” The student was in a psychotic episode, hallucinating and was paranoid. D t hi t t h l ft h l Hi th ( h li dDue to his state, he left school. His mother (who lived outside TN), over the phone, identified a friend he might be with. The SRO went to the home. The student agreed to come back to school for evaluationstudent agreed to come back to school for evaluation. Mobile Crisis was contacted and the student was hospitalized. Within two hours after the teacher alerted the therapist, the client was located, evaluated and admitted. Following discharge, the therapist completed his intake at school (so he wouldn’t miss more school) and transferred his case to adult servicesservices.

“Whi h d d I t k ?” (Ali )“Which road do I take?” (Alice) "Where do you want to go?"

"I don't know," Alice answered.

"Then, said the cat, it doesn't matter.”

“If you don't know where you are going, d ill t th ”any road will get you there.”